歯科開業医院におけるパラデンタルスタッフへのBLS教育と意識変化

抄録

As the use of dental implants has become widespread, they have been used for elderly patients and patients with serious systemic complications in recent years. We consider that measures are needed to deal with dental emergency situations in private dental clinics. In an ordinary dental clinic, more paradental staff such as hygienists and dental assistants are on duty than dentists. If paradental staff were given training on basic life support (BLS), they would become an effective asset to the clinic in an emergency. Therefore, we held a short course on BLS based on the latest international guideline considering the arrangement of dental equipment, devices and the composition of personnel at the Osaka Implant Center. The course was composed of lectures and practice, and we conducted a questionnaire survey on the change of understanding of BLS procedures among paradental staff. They were answered the questionnaire both before and after BLS practice, and we compared the results of the two questionnaires. The answers to the pre-practice questionnaire showed that almost all of the paradental staff were sufficiently aware of the need for BLS for dentistry, but only 18.8% had a proper understanding of BLS procedures. In contrast, answers to the post-practice questionnaire indicated that BLS understanding had improved in 26 (81.2%). Regarding learning the BLS procedures, it was thought that deciding each role beforehand had reduced confusion and made the subject easier to understand. Fatal situations of the patient are rarely encountered, especially in private dental clinics. In order for the patient to survive the super-acute term which may be a rare experience, continuous efforts to acquire BLS skills and knowledge are needed, and when an emergency occurs, initial action as a team without confusion is indispensable. Although further consideration is needed, a short course on BLS for paradental staffin dental emergency situations would be useful.